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Relationship between maternal periodontal disease and Apgar score of newborns

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Purpose: The aim of this study was to evaluate the relationship between maternal periodontal disease and the health status of newborns using Apgar scores. Methods: One hundred pregnant women with periodontal disease were included in the case series and 100 pregnant women without periodontal disease were placed in the control group, respectively. The periodontal parameters of bleeding on probing (BOP), clinical attachment loss (CAL), probing depth (PD), birth weight, and Apgar scores were recorded in both groups. T-tests and Pearson’s correlation coefficient were used to determine the birth weight odds ratio to analyze the relationship between the periodontal parameters of BOP, CAL, and PD on the one hand and an Apgar score of less than 7. An unpaired Student’s t-test was used to analyze differences in means between the case and control groups using SPSS ver. 13. Results: The means of the ages, periodontal pocket depths, attachment loss, areas with BOP, Apgar score in the first 5 minutes and infant birth weight exhibited statistically significant differences between the case and control groups. The ratio of an Apgar score of <7 to periodontal disease was 3.14; the ratio of low birth weight risk in mothers with periodontal disease to that in mothers without periodontal disease was 2.74. Pearson’s correlation coefficient revealed a significant correlation between the infant birth weight and BOP, CAL, and PD of the mother. In addition, there was a significant correlation between the Apgar score and BOP, CAL, and PD and also between the Apgar score and infant birth weight. Conclusions: The results of this study showed a significant relationship between periodontal disease and infant birth weight;in addition, there was a significant relationship between the periodontal indexes of BOP, CAL, and PD on the one hand and the Apgar score on the other.

Abstract

Purpose: The aim of this study was to evaluate the relationship between maternal periodontal disease and the health status of newborns using Apgar scores. Methods: One hundred pregnant women with periodontal disease were included in the case series and 100 pregnant women without periodontal disease were placed in the control group, respectively. The periodontal parameters of bleeding on probing (BOP), clinical attachment loss (CAL), probing depth (PD), birth weight, and Apgar scores were recorded in both groups. T-tests and Pearson’s correlation coefficient were used to determine the birth weight odds ratio to analyze the relationship between the periodontal parameters of BOP, CAL, and PD on the one hand and an Apgar score of less than 7. An unpaired Student’s t-test was used to analyze differences in means between the case and control groups using SPSS ver. 13. Results: The means of the ages, periodontal pocket depths, attachment loss, areas with BOP, Apgar score in the first 5 minutes and infant birth weight exhibited statistically significant differences between the case and control groups. The ratio of an Apgar score of <7 to periodontal disease was 3.14; the ratio of low birth weight risk in mothers with periodontal disease to that in mothers without periodontal disease was 2.74. Pearson’s correlation coefficient revealed a significant correlation between the infant birth weight and BOP, CAL, and PD of the mother. In addition, there was a significant correlation between the Apgar score and BOP, CAL, and PD and also between the Apgar score and infant birth weight. Conclusions: The results of this study showed a significant relationship between periodontal disease and infant birth weight;in addition, there was a significant relationship between the periodontal indexes of BOP, CAL, and PD on the one hand and the Apgar score on the other.

참고문헌 (24)

  1. Bobetsis YA, "Exploring the relationship between periodontal disease and pregnancy complications", J Am Dent Assoc, 137, pp.7S~13S (2006)
  2. "J Dent Res", 1995, 158~
  3. Collins JG, "Effects of a Porphyromonas gingivalis infection on inflammatory mediator response and pregnancy outcome in hamsters", Infect Immun, 62, pp.4356~4361 (1994)
  4. Offenbacher S, "Periodontal infection as a possible risk factor for preterm low birth weight", J Periodontol, 67(10), pp.1103~1113 (1996)
  5. Davenport ES, "The East London Study of Maternal Chronic Periodontal Disease and Preterm Low Birth Weight Infants: study design and prevalence data", Ann Periodontol, 3, pp.213~221 (1998)
  6. Jeffcoat MK, "Periodontal infection and preterm birth: results of a prospective study", J Am Dent Assoc, 132, pp.875~880 (2001)
  7. Offenbacher S, "Maternal periodontitis and prematurity. Part I: Obstetric outcome of prematurity and growth restriction", Ann Periodontol, 6, pp.164~174 (2001)
  8. Moore S, "A prospective study to investigate the relationship between periodontal disease and adverse pregnancy outcome", Br Dent J, 197, pp.251~258 (2004)
  9. "J Dent Res", 2002, A230~
  10. Mitchell-Lewis D, "Periodontal infections and pre-term birth: early findings from a cohort of young minority women in New York", Eur J Oral Sci, 109, pp.34~39 (2001)
  11. Lopez NJ, "Periodontal therapy may reduce the risk of preterm low birth weight in women with periodontal disease: a randomized controlled trial", J Periodontol, 73, pp.911~924 (2002)
  12. Avery ME, "Determinants of Size and Maturity at Birth, In Pediatric medicine", pp.130~145 (1988), Williams & Wilkins
  13. Usher RH, "The Special Problems of the Premature Infant, In Neonatalogy, pathophysiology and management of the newborn", pp.23~261 (1981), Lippincott
  14. Bhat M, "Developmental enamel defects in primary teeth in children with cerebral palsy, mental retardation, or hearing defects: a review", Adv Dent Res, 3, pp.132~142 (1989)
  15. Casey BM, "The continuing value of the Apgar score for the assessment of newborn infants", N Engl J Med, 344, pp.467~471 (2001)
  16. Al-Zahrani MS, "Obesity and periodontal disease in young, middle-aged, and older adults", J Periodontol, 74, pp.610~615 (2003)
  17. Simon GE, "Outcomes of prenatal antidepressant exposure", Am J Psychiatry, 159, pp.2055~2061 (2002)
  18. Michalowicz BS, "Treatment of periodontal disease and the risk of preterm birth", N Engl J Med, 355, pp.1885~1894 (2006)
  19. Offenbacher S, "Progressive periodontal disease and risk of very preterm delivery", Obstet Gynecol, 107, pp.29~36 (2006)
  20. Jeffcoat MK, "Periodontal disease and preterm birth: results of a pilot intervention study", J Periodontol, 74, pp.1214~1218 (2003)
  21. Dasanayake AP, "Preterm low birth weight and periodontal disease among African Americans", Dent Clin North Am, 47, pp.115~125 (2003)
  22. Shirmohammadi A, "Relationship between maternal periodontal condition and body size of newborns", Iran J Pediatr, 19, pp.101~107 (2009)
  23. Meurman JH, "Oral health in women with pregnancy and delivery complications", Clin Oral Investig, 10, pp.96~101 (2006)
  24. Goepfert AR, "Periodontal disease and upper genital tract inflammation in early spontaneous preterm birth", Obstet Gynecol, 104, pp.777~783 (2004)

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